How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $977.24 Median $3,715.35 Typical High $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,818.38 | Professional | None | $2,754.23 | $2,754.23 | $2,818.38 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $10,232.93 | Facility | None | $1,659.59 | $3,981.07 | $10,232.93 |
BCBS Arizona Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $4,677.35 | Professional | None | $2,344.23 | $2,344.23 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,691.53 | Facility | None | $602.56 | $2,089.30 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,691.53 Typical High $4,168.69 | Professional | None | $2,570.40 | $2,691.53 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $1,096.48 Typical High $4,466.84 | Facility | None | $102.33 | $1,096.48 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $17,782.79 | Professional | None | $2,454.71 | $3,235.94 | $17,782.79 |
United Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $5,128.61 | Facility | None | $104.71 | $1,148.15 | $5,128.61 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $4,570.88 | Professional | None | $2,344.23 | $2,691.53 | $4,570.88 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,348.96 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $562.34 | Professional | 53 · Discontinued | $549.54 | $549.54 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,041.74 Typical High $2,089.30 | Professional | 54 · Surgery only | $2,041.74 | $2,041.74 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $416.87 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $281.84 |
Where Arizona sits
The same service costs 5.8 times more in Alaska than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 41st of 51
$2,692
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.